Individual
DR. ROGER E MOSESSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 PARK PL, GROUND FLOOR, NEW YORK, NY 10007-2146
(212) 693-1555
(212) 587-7218
Mailing address
75 PARK PL, GROUND FLOOR, NEW YORK, NY 10007-2146
(212) 693-1555
(212) 587-7218
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
170535
NY
2085R0202X
Diagnostic Radiology Physician
Primary
170535
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4198779
GHI ID NUMBER
NY
01
—
743S9
EMPIRE BCBS (NY) ID
NY
01
—
P2202221
OXFORD ID NUMBER
NY
Enumeration date
03/08/2007
Last updated
09/11/2025
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